Light KO for hyperextension
Cheryl Lewis
Description
Collection
Title:
Light KO for hyperextension
Creator:
Cheryl Lewis
Date:
6/20/2013
Text:
Dear Colleagues,
I have a patient with MS who is struggling with controlling her knee hyperextension. She is unable to manage the weight of a KAFO so I have been using an AFO to control the footdrop and plantarflexion and she uses an Ossur Unloader 1 Knee orthosis with a 10deg ext stop when she is more active to help control the hyperextension more. This configuration was the lightest I could find and still give her the option of wearing them independently.
Recently she came in and the upright had snapped - understandable after 2 years use! She had info from Townsend and Donjoy with her and was asking about those options. I know that many of these designs are too heavy for her to handle. My questions to the group - 1) Is there a better lightweight KO to control hyperextension? 2) How are other clinicians handling this patient type? MS is common in Canada and the weight of the devices is the #1 problem for this group.
FYI - we are also doing a trial of the Bioness FES L300 - she tried it at my clinic and it controlled the hyperextension and varus thrust quite well (as well as a KO) We are just trying to get some insurance coverage.
Cheryl Lewis BSc(HK), CO(c)
Certified Orthotist
Owner, CK Ortho Inc
Ph 519-436-9670
I have a patient with MS who is struggling with controlling her knee hyperextension. She is unable to manage the weight of a KAFO so I have been using an AFO to control the footdrop and plantarflexion and she uses an Ossur Unloader 1 Knee orthosis with a 10deg ext stop when she is more active to help control the hyperextension more. This configuration was the lightest I could find and still give her the option of wearing them independently.
Recently she came in and the upright had snapped - understandable after 2 years use! She had info from Townsend and Donjoy with her and was asking about those options. I know that many of these designs are too heavy for her to handle. My questions to the group - 1) Is there a better lightweight KO to control hyperextension? 2) How are other clinicians handling this patient type? MS is common in Canada and the weight of the devices is the #1 problem for this group.
FYI - we are also doing a trial of the Bioness FES L300 - she tried it at my clinic and it controlled the hyperextension and varus thrust quite well (as well as a KO) We are just trying to get some insurance coverage.
Cheryl Lewis BSc(HK), CO(c)
Certified Orthotist
Owner, CK Ortho Inc
Ph 519-436-9670
Citation
Cheryl Lewis, “Light KO for hyperextension,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/235272.
